Individual
DR. JONATHAN LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4141 5TH ST, RAPID CITY, SD 57701-6021
(605) 341-2424
(605) 341-4547
Mailing address
4141 5TH ST, RAPID CITY, SD 57701-6021
(605) 341-2424
(605) 341-4547
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
8806
SD
Other
Enumeration date
12/26/2007
Last updated
07/25/2013
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